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  1. Article ; Online: The ethics of wicked problems: an exegesis.

    Chan, Jeffrey K H

    Socio-ecological practice research

    2023  Volume 5, Issue 1, Page(s) 35–47

    Abstract: For nearly all the most urgent issues confronting humanity today, there is neither consensus about how to address them nor clarity on how tackling them might further compound existing inequality, erode democratic capacities and accelerate environmental ... ...

    Abstract For nearly all the most urgent issues confronting humanity today, there is neither consensus about how to address them nor clarity on how tackling them might further compound existing inequality, erode democratic capacities and accelerate environmental decline. Urgent issues of climate change, rapid urbanization and public health are teeming with wicked problems. Even so, their prospective solutions may nevertheless exacerbate these problems and bring about new ones. Taming any one of these wicked problems with planning and public policy tools presumes making decisions on ethical questions such as what to tame and what to ignore, who or what to prioritize in the solution, or conversely, who or what should bear the costs and risks, and how to strike a balance between uncertain benefits and probable harms. Despite the saliency of ethics in the formulation of wicked problems and how they are tamed, the ethics of wicked problems has remained woefully under-developed ever since (Rittel and Webber, Policy Sci 4:155-169, 1973) publication nearly five decades ago. In this article, each of the ten properties of the wicked problem, following their original sequence, will be examined in relation to ethics. What is the moral significance of each of these properties? How does explicating their moral content advance present understanding of wicked problems? And how might this study of ten properties in relation to ethics enable planners to avoid moral blindspots and pitfalls that often accompany wicked problems? Finally, how can the ethics of wicked problems aspire new planning ideals?
    Language English
    Publishing date 2023-01-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2947249-0
    ISSN 2524-5287 ; 2524-5279
    ISSN (online) 2524-5287
    ISSN 2524-5279
    DOI 10.1007/s42532-022-00137-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The results are in: Cardiovascular benefits of glucagon-like peptide-1 receptor agonists - a trial sequential analysis.

    Chan, Jeffrey Shi Kai

    European journal of preventive cardiology

    2021  Volume 28, Issue 9, Page(s) e2–e5

    Language English
    Publishing date 2021-02-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2626011-6
    ISSN 2047-4881 ; 2047-4873
    ISSN (online) 2047-4881
    ISSN 2047-4873
    DOI 10.1177/2047487320918722
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Aspirin-omitted dual antithrombotics vs. triple antithrombotics: a trial sequential analysis.

    Chan, Jeffrey Shi Kai

    European heart journal. Cardiovascular pharmacotherapy

    2020  Volume 7, Issue 3, Page(s) e32–e34

    MeSH term(s) Anticoagulants ; Aspirin/adverse effects ; Fibrinolytic Agents/adverse effects ; Humans ; Platelet Aggregation Inhibitors/adverse effects
    Chemical Substances Anticoagulants ; Fibrinolytic Agents ; Platelet Aggregation Inhibitors ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2020-05-31
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2808613-2
    ISSN 2055-6845 ; 2055-6837
    ISSN (online) 2055-6845
    ISSN 2055-6837
    DOI 10.1093/ehjcvp/pvaa061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: 'Environments of concern': reframing challenging behaviour within a human rights approach.

    Jorgensen, Mikaela / Nankervis, Karen / Chan, Jeffrey

    International journal of developmental disabilities

    2023  Volume 69, Issue 1, Page(s) 95–100

    Abstract: While disability is recognised by the United Nations Convention on the Rights of Persons with Disabilities (CRPD) as an evolving concept, the language of positive behaviour support has not kept pace with the current human rights-based approach. The ... ...

    Abstract While disability is recognised by the United Nations Convention on the Rights of Persons with Disabilities (CRPD) as an evolving concept, the language of positive behaviour support has not kept pace with the current human rights-based approach. The widely-used terms 'challenging behaviour' and 'behaviours that challenge' imply that the behaviour is inherent in a person with disability. Words have power in shaping practice: when the behaviour of the person with disability is framed as the problem, this leads to a pathologisation or labelling that can provide a rationale to medicate and restrain as a way of 'managing the challenging behaviour'. Many behaviours seen as being challenging could be better understood as 'adaptive behaviours to maladaptive environments', or legitimate responses to difficult environments and situations. In this paper, we argue that the language and implementation of positive behaviour support should better take into account the CRPD and contemporary evidence on behaviour change interventions, which support a shift away from focusing on individuals' behaviours towards putting environments front and centre. We outline how the social-ecological model could be used as a framework to more explicitly address 'environments of concern' in developing tailored and system-wide responses to behaviour support needs. We argue there is an urgency for this paradigm shift to better reflect the views of people with disability and improve outcomes.
    Language English
    Publishing date 2023-02-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2625980-1
    ISSN 2047-3877 ; 2047-3869
    ISSN (online) 2047-3877
    ISSN 2047-3869
    DOI 10.1080/20473869.2022.2118513
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Applying the CRPD to People With Intellectual and Developmental Disability With Behaviors of Concern During COVID-19.

    Nankervis, Karen / Chan, Jeffrey

    Journal of policy and practice in intellectual disabilities

    2021  Volume 18, Issue 3, Page(s) 197–202

    Abstract: People with intellectual and developmental disability (IDD) are a vulnerable population in all aspects of access and participation, abuse and neglect, and being subject to the use of restrictive practices. Accordingly, they are a group whose human rights ...

    Abstract People with intellectual and developmental disability (IDD) are a vulnerable population in all aspects of access and participation, abuse and neglect, and being subject to the use of restrictive practices. Accordingly, they are a group whose human rights can be impacted where equal access to supports, services, and accessible information is compromised. The current COVID-19 pandemic is a global humanitarian emergency that has had a devastating impact across the world, for all people. Growing concern has been raised about the impact of the COVID-19 virus on the health of people with disabilities and there has been subsequent development of strategies and protocols to promote equal access to information, health supports, and services. People with IDD have high levels of underlying comorbidity that increases their risk of contracting COVID-19 and measures to protect them from infection are critically important. However, those measures may trigger behaviors of concern and increase the risk of being subjected to restrictive practices. While some attention has been paid to the health impacts of COVID-19 on people with disabilities, there has been less paid to the impact on the human rights of people with IDD who present with behaviors of concern. The aim of this paper is to provide a hypothetical exploration of the impacts of pandemic prevention measures on people with IDD and behaviors of concern in the context of the Convention on the Rights of Persons with Disabilities (CRPD). In the absence of available guidance for working with people with IDD with behaviors of concern during COVID-19, we suggest behavior support response plans that aim to ensure that people with IDD with behaviors of concern are supported properly in a time of significant disruption for them, thereby safeguarding their human rights.
    Language English
    Publishing date 2021-03-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2152055-0
    ISSN 1741-1130 ; 1741-1122
    ISSN (online) 1741-1130
    ISSN 1741-1122
    DOI 10.1111/jppi.12374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Social cohesion and associations with sedentary time, physical activity and dietary quality in The Maastricht Study.

    Chan, Jeffrey Alexander / Bosma, Hans / Lakerveld, Jeroen / Schram, Miranda T / van Greevenbroek, Marleen / Koster, Annemarie

    Preventive medicine

    2024  Volume 183, Page(s) 107970

    Abstract: Intro: We aim to investigate the relationship between social cohesion and sedentary behavior (SB), total physical activity (PA), moderate-to-vigorous PA (MVPA), and dietary quality. Additionally, we assess whether these associations are independent of ... ...

    Abstract Intro: We aim to investigate the relationship between social cohesion and sedentary behavior (SB), total physical activity (PA), moderate-to-vigorous PA (MVPA), and dietary quality. Additionally, we assess whether these associations are independent of neighborhood walkability and the food environment.
    Methods: A total of 7641 participants from The Maastricht Study in the Netherlands between the ages of 40 and 75 years were analyzed. Neighborhood social cohesion was obtained by participant questionnaire completed at baseline and measured by the Dutch Livability meter. Home addresses were linked to geographic information system (GIS) data from the Geoscience and Health Cohort Consortium (GECCO) to create neighborhood exposures of walkability and food environment. A thigh worn accelerometer collected data to measure sedentary time, total daily PA, and MVPA. Dietary quality was measured with a food frequency questionnaire. Multivariate linear regression analyses were adjusted for age, sex, socioeconomic position, neighborhood walkability, and food environment.
    Results: Those living in the highest quartile area of perceived social cohesion had statistically significant lower levels of SB (Q4 B: -13.04; 95% CI = -20.23, -5.85), higher total PA (Q4 B: 4.39; 95% CI = 1.69, 7.10), and higher MVPA (Q4 B: 2.57; 95% CI = 0.83, 4.31) and better diet quality (Q4 B: 1.12; 95% CI = 0.24, 2.01) compared to the lowest quartile independent of walkability and food environment. Similar results were found using the Livability meter.
    Conclusion: We discovered neighborhood social cohesion as an important obesogenic determinant that should be considered in policymaking to encourage higher levels of PA and higher diet quality.
    Language English
    Publishing date 2024-04-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 184600-0
    ISSN 1096-0260 ; 0091-7435
    ISSN (online) 1096-0260
    ISSN 0091-7435
    DOI 10.1016/j.ypmed.2024.107970
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: False-Negative Functional Tests for Heparin-Induced Thrombocytopenia in Patients Receiving Ticagrelor: A Case Report.

    Mo, Yoonsun / Chan, Jeffrey / Ifraimov, Jennifer / Sebastian, Ashley / Pinkos, Kaitlyn

    Journal of clinical pharmacology

    2023  Volume 63, Issue 10, Page(s) 1172–1173

    MeSH term(s) Humans ; Ticagrelor/adverse effects ; Thrombocytopenia/chemically induced ; Thrombocytopenia/diagnosis ; Heparin/adverse effects ; Anticoagulants/adverse effects
    Chemical Substances Ticagrelor (GLH0314RVC) ; Heparin (9005-49-6) ; Anticoagulants
    Language English
    Publishing date 2023-07-07
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 188980-1
    ISSN 1552-4604 ; 0091-2700 ; 0021-9754
    ISSN (online) 1552-4604
    ISSN 0091-2700 ; 0021-9754
    DOI 10.1002/jcph.2296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Temporal trends in anesthetic practice during left atrial appendage occlusion in Hong Kong: A single-centre retrospective cohort study.

    Kot, Thompson Ka Ming / Chan, Jeffrey Shi Kai / Chan, Albert Kam Ming

    Journal of clinical anesthesia

    2023  Volume 87, Page(s) 111105

    MeSH term(s) Humans ; Atrial Appendage/surgery ; Hong Kong ; Retrospective Studies ; Stroke ; Atrial Fibrillation/surgery ; Anesthetics ; Treatment Outcome ; Cardiac Catheterization
    Chemical Substances Anesthetics
    Language English
    Publishing date 2023-03-13
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2023.111105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Advances in Procedural Echocardiographic Imaging in Transcatheter Edge-to-Edge Repair for Mitral Regurgitation.

    Fan, Yiting / Chan, Jeffrey Shi Kai / Lee, Alex Pui-Wai

    Frontiers in cardiovascular medicine

    2022  Volume 9, Page(s) 864341

    Abstract: Transcatheter edge-to-edge repair (TEER) therapy is recommended by the American College of Cardiology/American Heart Association (ACC/AHA) guidelines for selected patients with symptomatic severe or moderate-severe mitral regurgitation (MR). ... ...

    Abstract Transcatheter edge-to-edge repair (TEER) therapy is recommended by the American College of Cardiology/American Heart Association (ACC/AHA) guidelines for selected patients with symptomatic severe or moderate-severe mitral regurgitation (MR). Echocardiography, in particular transesophageal echocardiography (TEE), plays a critical role in procedural planning and guidance for TEER. Recent innovations and advances in TEE techniques including three-dimensional (3D) imaging, unlimited x-plane imaging, live 3D multiplanar reconstruction, as well as transillumination imaging with color Doppler and transparency rendering have further enhanced procedural imaging for TEER, especially for complex diseases including commissural defects, clefts, and multi-segment pathologies. This review discusses the technology of these advanced procedural imaging techniques and provides a "step-by-step" guide on how to apply them during the TEER procedure with a focus on their added values in treatment of complex valve lesions.
    Language English
    Publishing date 2022-03-28
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2022.864341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Intra-medullary Cannulated Headless Compression Screw for Bone Graft Fixation in Metacarpal Fractures.

    Kolaityte, Valdone / Murugesan, Logendra / Chan, Jeffrey C Y

    The journal of hand surgery Asian-Pacific volume

    2022  Volume 27, Issue 5, Page(s) 912–916

    Abstract: High energy metacarpal fracture presenting with critical bone loss requires bone graft and hardware stabilisation. Early bone grafting and rigid internal fixation allow expedited patient recovery. Plate fixation is the most described technique when an ... ...

    Abstract High energy metacarpal fracture presenting with critical bone loss requires bone graft and hardware stabilisation. Early bone grafting and rigid internal fixation allow expedited patient recovery. Plate fixation is the most described technique when an autologous bone graft is being used. In this report, we present an alternative technique to secure bone grafts to metacarpal shafts with intra-medullary headless compression screws (HCS). In the presented patient, significant bone defects of the fourth and fifth metacarpals were bridged using iliac crest cortico-cancellous bone grafts and fixed with HCS. This method of fixation allowed controlled early active mobilisation. Bone graft incorporation and excellent active range of motion were demonstrated.
    MeSH term(s) Humans ; Metacarpal Bones/diagnostic imaging ; Metacarpal Bones/surgery ; Metacarpal Bones/injuries ; Bone Transplantation ; Bone Screws ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery ; Fracture Fixation, Internal/methods ; Hand Injuries
    Language English
    Publishing date 2022-10-26
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 2848651-1
    ISSN 2424-8363 ; 2424-8355
    ISSN (online) 2424-8363
    ISSN 2424-8355
    DOI 10.1142/S2424835522720468
    Database MEDical Literature Analysis and Retrieval System OnLINE

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